Han Eun-Soo, Kweon Young-Ran
Department of Nursing, School of Medicine, Chodang University, Jeollanam-do, Korea.
Department of Nursing, School of Medicine, Chonnam National University, Gwangju, Korea.
Iran J Public Health. 2020 Sep;49(9):1666-1674. doi: 10.18502/ijph.v49i9.4083.
Despite the awareness that regular exercise has a positive impact on maintaining health, patients with rheumatoid arthritis (RA) engage in markedly less exercise than do the general population. Weaimed to construct and test a structural equation model of exercise behavior in patients with RA based on self-determination theory and self-efficacy theory.
Participants were 214 outpatients with RA at Chonnam National University Hospital located in the Gwangju City, South Korea from Mar to Apr 2018. A structured self-report questionnaire was used to assess autonomy support, autonomy, competence, relatedness, autonomous motivation, self-efficacy, and exercise behavior. Collected data were analyzed using SPSS 22.0 and AMOS 22.0 program.
The structural model showed a good fitness with the data (χ= 727.27, df = 392, <0.001, TLI = 0.92, CFI = 0.93, RMSEA = 0.07, SRMR = 0.07). Autonomous motivation and self-efficacy had a significant effect on exercise behavior in patients with RA. This model explained 21.2% of the variance of exercise behavior in patients with RA.
Self-efficiency and autonomous motivation should be promoted in order to strengthen the exercise behavior of patients with RA.
尽管人们意识到规律运动对维持健康有积极影响，但类风湿关节炎（RA）患者的运动量明显低于普通人群。我们旨在基于自我决定理论和自我效能理论构建并测试RA患者运动行为的结构方程模型。
研究对象为2018年3月至4月期间韩国光州市全南国立大学医院的214例RA门诊患者。采用结构化自填问卷评估自主支持、自主性、能力、关联性、自主动机、自我效能和运动行为。收集的数据使用SPSS 22.0和AMOS 22.0程序进行分析。
结构模型与数据拟合良好（χ= 727.27，df = 392，<0.001，TLI = 0.92，CFI = 0.93，RMSEA = 0.07，SRMR = 0.07）。自主动机和自我效能对RA患者的运动行为有显著影响。该模型解释了RA患者运动行为变异的21.2%。
应提高自我效能和自主动机，以增强RA患者的运动行为。
